Individual
MARK DALE EMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19112
NE
207W00000X
Ophthalmology Physician
30240
IA
207WX0107X
Retina Specialist (Ophthalmology) Physician
19112
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080542812
—
NE
Enumeration date
11/16/2005
Last updated
09/09/2021
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